Organization
YUCCA VALLEY FAMILY MEDICAL ASSOCIATES, INC.
Active
Organization
YUCCA VALLEY FAMILY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELDENE ARNE SMITH M.D. (OWNER)
(760) 367-6028
Entity
Organization
Contact information
Practice address
6380 SPLIT ROCK AVE, TWENTYNINE PALMS, CA 92277-2550
(760) 367-6028
(760) 367-2178
Mailing address
6380 SPLIT ROCK AVE, TWENTYNINE PALMS, CA 92277-2550
(760) 367-6028
(760) 367-2178
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A38944
CA
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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